<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932022000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínico quirúrgicas de los pacientes con trauma cerrado de abdomen]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical-Surgical Characteristics of Patients with Blunt Abdominal Trauma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivero León]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez Calatayud]]></surname>
<given-names><![CDATA[Margis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Liven]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quesada Vázquez]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Ciego de Ávila Hospital Provincial Docente &#8220;Roberto Rodríguez Fernández&#8221; de Morón ]]></institution>
<addr-line><![CDATA[ Ciego de Ávila]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932022000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932022000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932022000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El traumatismo abdominal cerrado puede provocar lesiones orgánicas graves con hemorragias que demandan un tratamiento quirúrgico emergente y es la principal causa de muertes evitables en todos los grupos de edad.  Objetivo: Evaluar las características clínico quirúrgicas de los pacientes con trauma cerrado de abdomen.  Métodos:  Se realizó un estudio observacional descriptivo y retrospectivo para evaluar el comportamiento del trauma cerrado de abdomen en 81 pacientes atendidos en el Hospital General Provincial Docente &#8220;Roberto Rodríguez Fernández&#8221; de Morón desde enero del 2014 hasta diciembre de 2019.  Resultados: El adulto joven fue el grupo de edad predominante (34,6 %) del sexo masculino (19,8 %), el accidente de tránsito (48,1 %) fue la causa principal. El cuadro hemorrágico (39,5 %) seguidos del cuadro doloroso abdominal (38,3 %) representaron los síntomas clínicos más relevantes. La positividad de los exámenes auxiliares estuvo representada por la ecografía abdominal (74,1 %) seguida de la punción abdominal (9,9 %). Las lesiones hepáticas (27,0 %) seguidas de las esplénicas (19,0 %) fueron las vísceras macizas más afectadas. El 77,8 % fue intervenido quirúrgicamente y las técnicas quirúrgicas hepáticas fueron las más empleadas para un total de 17 casos (26,9 %). El choque hipovolémico (12,7 %) fue la complicación posoperatoria más encontrada. Se reportó un 12,3 % de fallecidos.  Conclusiones: El paciente con trauma cerrado de abdomen debe ser considerado siempre politraumatizado cuyo tratamiento inicial se dirige a la estabilización rápida e identificación de lesiones que amenacen la vida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Blunt abdominal trauma can cause severe organ injury with hemorrhage demanding emergent surgical treatment. It is the leading cause of preventable death among all age groups.  Objective: To assess the clinical-surgical characteristics of patients with blunt abdominal trauma.  Methods:  A descriptive and retrospective observational study was carried out to assess the characteristics of blunt abdominal trauma in 81 patients treated at Roberto Rodríguez Fernández General Provincial Teaching Hospital of Morón from January 2014 to December 2019.  Results: Young adults represented the predominant age group (34.6%), together with the male sex (19.8%). Traffic accident (48.1%) was the main cause. Hemorrhagic symptoms (39.5%) was the most relevant clinical symptoms, followed by abdominal pain (38.3%). Positive results in complementary tests were represented by abdominal ultrasound (74.1%), followed by abdominal puncture (9.9%). Hepatic lesions (27.0%) was the most affected solid viscera, followed by splenic lesions (19.0%). 77.8% of cases were operated on and hepatic surgical techniques were the most frequently used, accounting for 17 cases (26.9%). Hypovolemic shock (12.7%) was the most frequent postoperative complication. A death rate of 12.3% was reported.  Conclusions:  The patient with blunt abdominal trauma should always be considered polytraumatized, in which case the initial treatment is aimed at rapid stabilization and identification of life-threatening injuries.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trauma abdominal cerrado]]></kwd>
<kwd lng="es"><![CDATA[morbilidad]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico imagenológico]]></kwd>
<kwd lng="es"><![CDATA[tratamiento quirúrgico]]></kwd>
<kwd lng="en"><![CDATA[blunt abdominal trauma]]></kwd>
<kwd lng="en"><![CDATA[morbidity]]></kwd>
<kwd lng="en"><![CDATA[imaging diagnosis]]></kwd>
<kwd lng="en"><![CDATA[surgical treatment]]></kwd>
</kwd-group>
</article-meta>
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